DR. STANLEY MICHAEL HICKS M.D. NPI 1336129451

NPI Information

  • NPI: 1336129451
  • Provider Name: DR. STANLEY MICHAEL HICKS, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • Address: 700 LINCOLN ST
    SUITE 100
    KELSO, WA
    ZIP 98626
  • Phone: (360) 425-5131

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NPI Details

DR. Stanley Michael Hicks, M.D. is a diagnostic radiology radiology in Kelso, WA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Stanley Michael Hicks, M.D. NPI is 1336129451. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

700 LINCOLN ST
SUITE 100
KELSO, WA
ZIP 98626-057
Phone: (360) 425-5131

The enumeration date for this NPI number is 1/17/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyMD00029538WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1745510MEDICARE ID-TYPE UNSPECIFIEDWASHINGTONMEDICARE NUMBER
234871OTHERWASHINGTONLABOR & INDUSTRIES
3E30112MEDICARE UPINWASHINGTON
48136988MEDICAIDWASHINGTON
5040803OTHEROREGONOREGON DSHS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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